Job Title: LTSS Service Care Manager
Job Location: Member Facing - must reside within Tampa Job Duration: 5 Months (Potential to Extend)
Mon-Fri 8 am-5 pm MUST be Bilingual (Spanish) Responsibilities: - Managing a caseload for healthcare members with long-term care needs.
- Monthly and quarterly member contact and will include 80% travel. Remote role. Will require a driver's license.
- Member assessments and notes.
- Complete assessments with members, caregivers, or providers to obtain information regarding client status, support system, and need for services for care plan development.
- Monitor delivery of services and follow-up with members, caregivers, or providers through in-person visits and telephonic contact
- Authorize and coordinate referrals for services.
- Ensure provider services are delivered without gaps and identify functional deficiencies in plans of care.
- Assist in coordinating the development of informal or voluntary services to integrate into the member care plan Collaborate with discharge planners, physicians, and other parties to ensure appropriate discharge plan, care plan, and coordination of acute care and long-term care services!
- Assist member with filing and resolving complaints and appeals.
Internal/External Groups with which the Candidate will interface: Required Skills/Experience: Preferred Skills/ Experience: 1.
2+ years of Care Management experience 1. Home health
Long term care 2. Discharge planning 2. Experience with electronic medical health records 3. Microsoft office 3. Bilingual (Spanish) Microsoft office 4. Education Requirement: Requires a Bachelor's degree and 2 - 4 years of related experience. Education Preferred: Software Skills Required: Microsoft office, Experience with electronic medical health records Required Certifications: Valid driver's license Required Testing: Position is offered by a no fee agency.